Individual
LOGAN KYLE ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E MARSHALL ST, RICHMOND, VA 23298-5023
(800) 762-6161
Mailing address
20 SUTTON PL S APT 20C, NEW YORK, NY 10022-4348
(914) 548-6873
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
06/22/2023
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